Health Care Accessibility and Individuals’ Health Seeking Behavior: A Case Study in Shanghai, China.

Authors: Yue Shen*, East China Normal University, Yinhua Tao, Peking University
Topics: Geography and Urban Health, Urban Geography, China
Keywords: health seeking behavior; accessibility; medtical security system; Shanghai
Session Type: Paper
Day: 4/6/2019
Start / End Time: 9:55 AM / 11:35 AM
Room: Marshall West, Marriott, Mezzanine Level
Presentation File: No File Uploaded

The distribution and accessibility of health care facilities (hospital or health service center) are key issues in medical geography and health research. Health seeking behavior reflects the demand and utilization of medical facilities, and is closely related to the residents' health and quality of life. In big cities of China, high-quality medical resources highly concentrate in the city center, which has a great influence on individuals' health seeking behavior and patients’ choice of medical institution. In addition, the institutional factors such as the medical security system and the hukou system also makes the effects of health care accessibility more complicated.
The study takes Shanghai as the case study area to investigate the relationship between health care accessibility and individuals' health seeking behavior, and different data sets are used. The dynamic monitoring data of floating population carried out by the National Health and Family Planning Commission in 2013 is used to explore general and spatial heterogeneity effects of health care facilities. And then, this study use activity dairy survey data conducted in 2017 to study the relationship among health care accessibility and health seeking behavior considering individuals' health condition and space-time constraints. The results show that people's health seeking behavior is high related to individual's socio-demographic attributes, institutional factors and health condition. While the impact mechanism of health care accessibility is relatively complex.

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